Individual
MICHAL DEVORAH GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S WOODS MILL RD STE 150, TOWN AND COUNTRY, MO 63017-9528
(636) 939-2550
Mailing address
PO BOX 675103, DETROIT, MI 48267-5103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2020043300
MO
101YP2500X
Professional Counselor
Primary
2020043300
MO
Other
Enumeration date
01/04/2023
Last updated
08/26/2025
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